Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 9550 | MA |
NPI | 1003915067 |
---|---|
Provider Name | Mr. David P. Scaplen |
First Address | Chelmsford, MA 01824-2766 |
Second Address | Chelmsford, MA 01824-2766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 02/07/2014 |